TEG在缺血性脑血管病中的应用进展

发布时间：2018-05-17 15:19

本文选题：缺血性脑血管病 + 血栓弹力图　；参考：《河北医科大学》2017年硕士论文

【摘要】：目前脑血管病已经成为影响我国中老年人身体健康和生命安全的主要疾病之一,缺血性脑血管病在其中占有很大的比重,近年来缺血性脑血管病在临床中发病率越来越多,并且发病率也趋于年轻化,临床医师对缺血性脑血病的认识越来越深入,在缺血性脑血管病的诊断、治疗及判断患者的预后方面有着越来越深刻的了解。血栓弹力图(thrombelastography,TEG)是一种动态描记凝血全过程的图像,由Hartert于1948年最早描述,它通过动态检测凝血全过程来评价凝血、血小板及纤维蛋白聚集及溶解过程中各指标情况,综合地反映凝血各方面的变化。目前血栓弹力图在缺血性脑血管病诊疗过程中的作用越来越重要,研究人员对于血栓弹力图的认识更加深刻,其在临床中的应用范围也越来越广,尤其是在缺血性脑血管病中,血栓弹力图已经成为其一项常规化验指标,它可用于对缺血性脑血管病严重程度的评估、监测急性脑梗死静脉溶栓患者的凝血状态变化、溶栓治疗效果、预后评价以及指导个体化抗血小板治疗。
[Abstract]:At present, cerebrovascular disease has become one of the main diseases affecting the health and life safety of middle-aged and elderly people in our country. Ischemic cerebrovascular disease occupies a large proportion among them. In recent years, the incidence of ischemic cerebrovascular disease in clinic is more and more. In addition, the incidence rate tends to be younger, the clinicians have a deeper understanding of ischemic cerebral blood disease, in the diagnosis, treatment and prognosis of ischemic cerebrovascular disease have more and more profound understanding. Thromboelastic thrombolysis is an image of the whole process of dynamic coagulation, which was first described by Hartert in 1948. It is used to evaluate the parameters of coagulation, platelet and fibrin aggregation and dissolution by dynamic detection of the whole process of coagulation. The changes in various aspects of coagulation are reflected synthetically. At present, thromboelastography plays an increasingly important role in the diagnosis and treatment of ischemic cerebrovascular disease. Researchers have a deeper understanding of thromboelastography, and its application in clinical practice is becoming more and more extensive, especially in ischemic cerebrovascular disease. Thromboelastography has become a routine test index, it can be used to assess the severity of ischemic cerebrovascular disease, to monitor the changes of coagulation status in patients with acute cerebral infarction venous thrombolysis, and the efficacy of thrombolytic therapy. Prognostic evaluation and guidance of individual antiplatelet therapy.
【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R743.3

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